physical therapy & alternative medicine

active therapeutic movement

2010-02-10T04:39:00.000-08:00

Overview of the ATM2: Treatment is a combined clinician/patient effort to manage and control musculoskeletal pain. It involves personalized body repositioning for finding unique, pain-free position for each user using a series of compressive belts in a weight bearing functional position. Once this position is found, the systems stabilize the patient allowing specific neuromuscular training based on body movement isolation that aims to achieve and sustain immediate pain reduction, increase range of motion, and improve function. The theory behind the system involves providing specific external compression to the pelvis and spine so the central nervous system realizes it no longer has to maintain a stabilized spine utilizing the global trunk muscles any longer; external force is imparted so these global muscles can relax. Once this is achieved, it allows for the spinal core muscles to be emphasized through a series of isometric contractions in the movement direction that was previously painful. With subsequent sessions, the spinal core muscles are being trained and over time strengthened to allow for spinal stabilization via the appropriate muscle group which are within the spine itself (i.e., multifidi). The ATM2 is based upon Physical Therapy Principles, primarily that of Brian Mulligan procedures. Our web site provides testimonials of other patients who are having success with the ATM2 where they hadnt had success previously.

Benefits of Stretching

2010-01-27T22:59:00.000-08:00

Benefits of Stretching

The following are several chronic training benefits gained from using a regular stretching

program:

• Improved flexibility, stamina (muscular endurance), and muscular strength. The degree

of benefit depends on how much stress is put on the muscle. Medium or heavy

stretches are recommended. You can do this by building up to doing long stretches

of high intensity (see the next section for a detailed explanation of light, medium,

and heavy stretching).

• Reduced muscle soreness, aches, and pains. Use only very light stretches if muscle

soreness prevails.

• Improved flexibility with the use of static or PNF stretches. Medium or heavy stretches

are recommended.

• Good muscular and joint mobility.

• More efficient muscular movements and fluidity of motion.

• Greater ability to exert maximum force through a wider range of motion.

• Prevention of some lower back problems.

• Improved appearance and self-image.

• Improved body alignment and posture.

• Better warm-up and cool-down in an exercise session.

General Recommendations

• Try to include all the major muscle groups in any stretching program.

• Do at least two different stretches for each joint movement.

• Before any physical activity, use light stretches as part of the warm-up.

• After an exercise routine, cool down with medium-intensity stretches.

• If muscles are sore after exercising, use only light stretches two or three times with a

5- to 10-second hold for each stretch performed.

• If muscle soreness persists for several days, continue using light stretches two or three

times with a 5- to 10-second hold for each stretch performed.

• The majority of the stretches should be static.

Early Signs Of Autism Infants

2009-12-26T00:19:00.000-08:00

Although, a small amount of parents of infants, subsequently diagnosed provided autism or greater amount of pervasive developmental disorders cause that their child was progressing normally, then The next thing you knew put a stop on and began to regress. Many larger amount of parents state, that in retrospect, they saw indicators of birth. What are these early indicators that might be overlooked? Parents should let intuition be their guide and intervene early if they suspect something is not quite right. If an infant lacks eye contact, avoids cuddling, fixates on lights or spinning objects, acts as if deaf, is excessively passive, these could be possible “red flags”. These signs may not be easily recognized by first time parents.Early Signs Of Autism Infants

In the past, pediatricians have often advocated a wait and see approach. All babies develop at their own rate. This is true. On the other hand; however, the plasticity of the infant’s brain lends itself to corrections that may be come more difficult if disengaging behaviors become more ingrained. Suggestions for modulating and correcting possible problems: Cut down on environmental stimuli. (E.g. Turn of the TV. Shut off ceiling fans. Turn off spinning mobiles. Avoid excessive use of flash cameras.) Early Signs Of Autism Infants

Promote eye contact. Gaze into his eyes as he is being nursed. Animate expressions to see if that increases engagement. Become more subdued if the infant appears overwhelmed by facial interactions. Play peek a boo games. Sing to the child. If the infant is being bottle fed, position him as if he were nursing and look in his eyes. During feeding, do not engage in other activities such as watching TV or checking email.

This is a time to bond. Every opportunity should be made to encourage the child to follow eye gaze. Eye contact and following eye gaze are necessary precursors to joint attention, a process where the child begins to point and then looks into the eyes of the caregiver to see if he/she is seeing what he is. A disengaged infant should face the caregiver as much as possible. Invest in a stroller where the child faces the parent. Forward facing strollers increases stress and anxiety and as it further limits possibility for interaction. The same is true of tummy backs that have the child facing outward, rather than toward the parent.

If the infant resists cuddling and touch, lean over him as he lies on his back and look into his eyes. Massage him to increase tolerance. Lay next to the infant engaging him in eye contact, gently massage arms, legs, hands and feet. Different textures can be used in addition to hands. These desensitizing techniques slowly as the child becomes more tolerant. Agitation, rocking, spinning, and head banging should be addressed.Early Signs Of Autism Infants

If a baby looks like he is having difficulty establishing an internal rhythm, parents should keep him very close so he can feel their heartbeat/rhythm. Rock him in a traditional rocking chair. Provide a manual rocking horse, or swing. Mechanical swings and devices often provide a faster rhythm than normal, possibly making the problem worse. Don’t let your child suffer anymore! Lead your child out of his world through Early Signs Of Autism Infants program now!

Early Signs Of Autism Infants is a proven Autism Solution for your Child.

Try The Program and change child’s life forever!

Article Source:http://www.articlesbase.com/alternative-medicine-articles/early-signs-of-autism-infants-a-possible-early-indication-of-autism-1623750.html

Nintendo game technology becomes therapy tool

2009-12-21T04:10:00.000-08:00

good news for all

Jason Hogan, physical therapist at RiverView, said adults who have had a stroke or brain injury benefit from Wii games as part of their therapy.

“The visual effects give them guidance better than we can,” Hogan said.

“Some adult patients are as motivated by it as the children.”

The pediatric gym also includes suspended swings, a climbing wall and other apparatus to help with mobility and sensory skills.

“It’s so much fun, they feel they don’t have to work,” Wittmann said. “They leave saying ‘I did it.’ That’s what it’s all about— to leave with success.”

see it at

http://www.grandforksherald.com/event/article/id/145065/

International Summit Reaches Agreement: Patient-Self Referral To Physical Therapy Improves Public Health

2009-12-19T23:34:00.000-08:00

This past week in Washington, DC, physical therapists from around the world heard that direct access and patient self-referral to a physical therapist is proven to be safe, and results in improved health outcomes, more timely care, higher patient satisfaction, and lower costs, says the American Physical Therapy Association (APTA), co-host of the International Summit on Direct Access and Advanced Scope of Practice.

"We were very pleased to host this event," says APTA President R. Scott Ward, PT, PhD. "This weekend we heard evidence from around the world that clearly demonstrates that direct patient access to physical therapists is appropriate for all Americans. The findings of this conference confirm that the legislation allowing patients to access physical therapists without a referral -- legislation that currently exists in 44 states -- is worth pursuing in all states and at the federal level."

Leaders from 18 countries attending the Summit endorsed the results of research that demonstrate that patient self-referral to physical therapy is best for all health systems, whether public or private. Direct access and patient self-referral allows patients to access physical therapy as their first choice for rehabilitation and wellness programs. A physician referral is not required.

"Physical therapists are able to act as first contact practitioners, and patients may seek direct services without referral from another health care professional," says Marilyn Moffat, PT, DPT, PhD, FAPTA, president of the World Confederation for Physical Therapy (WCPT). "The results of this wide body of research are clear: patients benefit from self-referral and direct access. We encourage legislators and health administrators around the world to consider these findings."

The Canadian Physiotherapy Association (CPT) shared its successes with direct access during a symposium, panel discussion, and breakout sessions.

"Canada has been a world leader in legislating direct access so that patients can self-refer to physiotherapy," says Alice Aiken, PT, PhD, president CPT. "Patient self-referral is legal in all provinces of Canada."

Approximately 150 physical therapists from around the world attended the meeting, which was co-hosted by APTA, WCPT, and CPT. For more information, visit APTA's Web site at http://www.apta.org/internationalsummit.

I like this picture

2009-11-26T01:59:00.000-08:00

La espera

Created by Jorge Suarez of Argentina, using Lightwave 9.6, which has the latest technology nodes (FAST SKIN).

Garlic Pickle Recipes

2009-11-25T02:44:00.000-08:00

Korean Pickled Garlic

For some people this was the favouite pickle at the testing and for others the garlic was overwhelmed by the soy flavour. Tim sent us this recipe which he found on the Vessey & Company website and used with great success. We made it with peeled garlic cloves and that worked well.

1 quart unpeeled garlic cloves
1 cup vinegar
4 cups soy sauce
2/3 cup sugar

Procedure:

Place garlic in a jar. Add vinegar and enough water to cover garlic. The cloves must be fully covered, not floating on top.
Close jar and let stand for one week, then drain.
Boil the soy sauce and sugar for 10 minutes. Set aside to cool.
Pour cooled soy mixture over garlic and seal jar.

The garlic will be ready to eat in 3 weeks. To eat, bite or cut the tips from the cloves, and suck out the meat. If the skins are tender, you can eat the whole thing. The younger the garlic, the more tender the skins.

Korean Pickles - left
"The Garlic News" Pickles - right

"The Garlic News" Pickled Garlic

This recipe was given by Audrey to garlic guru Paul Pospisil and he says it is the best he has come across. All the taste testers liked it. A nice, crisp pickle. It is an excellent vehicle for showcasing the different garlics. We made it without the optional spices. Baba Franchuk’s made an excellent, flavourful pickle with this recipe. Some of the milder garlics were considered a bit bland.

2 cups peeled garlic cloves
1/4 cup sugar
1 cup vinegar
1 1/2 teaspoons salt
1/2 teaspoon mustard seed
1 bay leaf or whole cloves or picling spices (optional)

Bring all ingredients to a boil in a pot. Cook one minute. Put in covered jar and refrigerate 24 hours.

Pickled Garlic with Red Pepper

A mild pickle, very pretty. Those who prefer mild pickles loved it and those who were looking for a stronger, more garlicky flavour found it uninteresting.

1/2 lb peeled garlic cloves
1 large fresh sweet red bell pepper, seeded and slivered
2 cups white vinegar
2/3 cup white sugar
1/2 teaspoon mustard seed
1/2 tsp celery seed

Peel garlic. Leave small cloves whole. Cut large cloves in half. Combine with red pepper.

Measure vinegar and sugar into saucepan. If desired, place mustard seed and celery seed in cotton bag and put in saucepan. May also be left loose. Heat on medium-high, stirring frequently, until it boils. Simmer for about 5 minutes. Add garlic and red pepper. Return to boil and boil 3 more minutes. Discard spice bag. Fill hot, sterilized jars with red peppers and garlic to within 1 inch of top. Fill with hot brine to 1/4 inch of top. Seal.

Let stand several weeks before serving. If not sealed, keep in the fridge.

from

http://www.garlicfarm.ca/

Fact - The principle of all physical therapy is to improve the blood and nerve supply to the affected area.

2009-11-01T04:57:00.000-08:00

A study published on 2nd May 2005 demonstrates that acupuncture is a lot more than just a placebo treatment and can genuinely play a big part in relieving pain. The World Health Organisation has listed some 40 diseases that can be successfully treated with acupuncture, including muscular, skeletal and nerve pain, breathing difficulties, digestive problems, disorders of the nervous system, depression and painful menstruation.

Acupuncture is a drug-free way to relieve pain and is surprisingly relaxing. The insertion of fine acupuncture needles is usually painless. If you are needle-phobic, there are other ways to stimulate the acu-points - electricity, heat, laser or fingertip pressure can be used. As it is so gentle, acupuncture is an ideal treatment choice for the elderly.

The Chinese believe that good health is to be regarded as a state of energy balance within the body. In traditional Chinese medicine, it is believed that an energy called 'chi', flows along invisible energy channels called 'meridians' which are believed to be linked to internal organs. Sticking needles in particular points along these meridians is believed to increase or decrease the flow of energy. A balance has to be kept between two opposing yet complementary natural forces called 'yin' (female) and 'yang' (male). The aim of Chinese medicine is to correct any imbalance in these forces, since this is the cause of disharmony and disease, and to allow the body's natural healing mechanisms to do the rest. Yin force is seen as being passive, tranquil and represents darkness, coldness, moisture and swelling. Yang force is seen as being aggressive and stimulating and represents light, heat, dryness and contraction.

This ancient method of Chinese medicine relaxes the nervous system by controlling central pain pathways. It also promotes the release of the body's own pain relieving hormones (endorphins). Endorphins have almost the same chemical structure as morphine, hence acupuncture being so effective for any condition that has pain and stress related to it. Today there is more scientific understanding of how acupuncture works. Not only have the endorphins and pain blocking mechanisms of acupuncture been proven, but also it is a fantastic way to stimulate circulation to a particular area.

One of the principals of acupuncture is to improve the blood supply to the area of pain. Acupuncture works because a needle is perceived by the body as something foreign (literally a foreign body) and the body's defence system sends an increase of blood supply to fight off potential infection. In so doing the area is engorged with blood. With the increase of blood supply toxic build up in the muscle tissue can be flushed through and eliminated. Nowadays, disposable needles are used to ease the fears of cross-infection.

from http://www.garrytrainer.com/acupuncture.html

Reflexology

2009-10-18T02:30:00.000-07:00

The House of Lords' Select Committee on Complementary and Alternative Medicine described reflexology as follows: ^{'A system of massage of the feet based on the idea that there are invisible zones running vertically through the body, so that each organ has a corresponding location in the foot. It has also been claimed to stimulate blood supply and relieve tension.'}

*Reflexology is of moderate popularity compared with other CAM treatments.

*It is not possible to give a firm indication of whether it is effective or not because of the quantity and quality of research so far. More trials are needed. However, it should be remembered that lack of evidence for efficacy is not the same as evidence for lack of efficacy.

*Reflexology is unlikely to do any significant harm.

Acupuncture can decrease the rates of caesarean delivery,

2009-10-12T23:13:00.000-07:00

Canada Study:Acupuncture can decrease the rates of caesarean delivery

Acupuncture can decrease the rates of caesarean delivery,according to new study.

This fits right into the new campaign launched by the Society of Obstetricians and Gynaecologists of Canada (SOGC) to 'normalize' childbirth and reduce Canada's soaring caesarean section rate."

The SOGC claims 20% fewer caesarean sections could be performed if doctors and hospitals followed guidelines aimed at lowering unnecessary surgeries and if women had support during labour.

Studies have shown that women receiving prebirth acupuncture compared to a control group had:

- An overall 35% reduction in the number of inductions (for women having their first baby this was a 43% reduction)

- A 31% reduction in the epidural rate

- A 32% reduction in emergency caesarean delivery
Source:http://www.benzinga.com/press-releases/m22535/studies-show-that-acupuncture-decreases-caesarean-rates

from: http://ow.ly/15Uv4a

Physical Therapist Job Description

2009-10-10T04:01:00.000-07:00

Physical therapists (PTs) help patients, including accident victims and individuals with disabling conditions such as low back pain, arthritis, fractures, head injuries, and cerebral palsy, by providing services that restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities. They restore, maintain, and promote overall fitness and health.

Median Annual Earnings in the Industries Employing the Largest Numbers of Physical Therapists (U.S., 2006)

Home health care services: $70,920
Nursing care facilities: $68,650
General medical and surgical hospitals: $66,630
Offices of physicians: $65,900
Offices of physical, occupational and speech therapists, and audiologists: $65,150

wow

great job with great money

Physical Therapy Marketing

2009-10-06T01:35:00.000-07:00

here are many definitions of marketing. The better definitions are focused upon customer orientation and satisfaction of customer needs.

Marketing is the social process by which individuals and groups obtain what they need and want through creating and exchanging products and value with others

Kotler.

Marketing is the management process that identifies, anticipates and satisfies customer requirements profitably -

The Chartered Institute of Marketing (CIM).

The CIM definition (in common with Barwell's definition of the marketing concept) looks not only at identifying customer needs, but also satisfying them (short-term) and anticipating them in the future (long-term retention).

The right product, in the right place, at the right time, at the right price -

Adcock.

This is a snappy and realistic definition that uses McCarthy's Four Ps.

Marketing is essentially about marshalling the resources of an organization so that they meet the changing needs of the customer on whom the organization depends -

Palmer.

This is a more recent and very realistic definition that looks at matching capabilities with needs.

Marketing is the process whereby society, to supply its consumption needs, evolves distributive systems composed of participants, who, interacting under constraints - technical (economic) and ethical (social) - create the transactions or flows which resolve market separations and result in exchange and consumption.

Bartles

part 1

part2

Med students Twittering secrets

2009-09-24T04:30:00.000-07:00

By Sheilah Downey

"Don't be deceived by the sense of anonymity the Internet fosters," cautions workplace legal expert Robin Bond, and it may be the best legal advice for this age gone-a-Twitter.

Three medical students were fired and 76 percent of students were warned for posting unprofessional material on the Internet, according to a study published today in the Journal of the American Medical Association.

In the anonymous survey, sent to schools in the Association of American Medical Colleges, 60 percent of the deans reported incidents of students posting unprofessional content online.

Violations of patient confidentiality were reported by 13 percent of the college deans responding to the electronic survey from the Washington VA Medical Center.

Only 38 percent of the medical schools said they had a policy in place to "cover student-posted online content," and 11 percent said they were developing new policies to stop the Internet chatter from repeating, according to the study.

In addition to sharing patient secrets, more than 50 percent of the students were shown using profanity online, 48 percent were using discriminatory language, 39 percent were drunk online, and 38 percent were shown in sexually suggestive material, the study said.

It isn't known if the med students were blogging in their Internet infractions, but Bond says with more than 27 percent of users reading blogs, they become "virtual diaries," according to an article in BusinessWire.

"Writing a blog is the online equivalent of publishing your opinions in the local paper," Bond said. "Laws of libel, slander and defamation of character do apply."

In September of 2005, 27 employees of Auto Club of California were fired for blogging about fellow employees, in articles criticizing them about their weight and other lifestyle factors.

Combination of traditional, alternative medicine popular

2009-09-14T23:21:00.000-07:00

DAMIEN WOOD - Herald-Tribune

Grande Prairie’s first annual Health and Wellness gave visitors what it seems is exactly what they wanted – lots of different options under one roof.

The Evergreen Park TEC Centre pulled in around 3,000 people to check out 90 exhibitors over the course of the weekend.

Doctors, pharmacists, nurses, dietitians, personal trainers, practitioners of alternative medicine and quite a few others all got attention from visitors – some just wandering and some with very specific questions.

“I just think it’s nice to see what perhaps is available to us locally, or even just something to do on your own to look after your own health,” said Carolyn Riha.

“You’ve got options of doing whatever you want – options on getting better. (There is) a lot of new stuff and new ways to do things,” said Shawn Sutherland.

Show producer Jenny Kachkar said people’s interest could be because of the current state of healthcare, with doctor shortages being what they are, but also the age of information.

“I think with the world of the Internet and accessibility to electronic media, people are really taking the initiative to find their research. They are still going to their doctors ... but figure out their own way that’s going to give you the right remedy or what’s going to best suit your personal lifestyle,” she said.

“We go to the doctor when we need to, but if it’s something that we can do at home we’re not putting lag on the system by hanging out in the emergency room for a cold,” said Cori Lester.

Registered dietitian and certified diabetes educator Karie Quinn said people are possibly “waking up.”

“They’re starting to really respond to ‘what can I do?’ as opposed to ‘somebody else help me, somebody else treat me,’” she said.

“It may be as simple as our lifestyle. Many, many chronic diseases – not all of them, but many chronic diseases – can be assisted and maybe even prevented or delayed just simply by moving more and eating maybe a little less in portioning.”

Nutrition seemed to be a popular topic at the show. Sutherland found himself at one juice exhibitor to find something better than the rest.

Lester’s husband, Lawrence, left with juice under his arm.

Demonstrations of healthy eating on the main stage by cooks from Jax Grill and Lounge and Moxie’s Classic Grill pulled in some of the bigger audiences with free samples.

Quinn, who also presented at the show, said the weekend has been a bit of a dream to her as she has a background in both traditional and alternative medicine.

She is glad to see it all under one roof.

“You cannot give one individual the same message that you give to the next,” she said.

“At first glance, I think people are expecting to see (traditional) types of information. But they’re coming in – pleasantly, I think – thinking ‘hey, it can all work.’”

The Whole Truth About Milk

2009-09-11T00:06:00.000-07:00

Milk and milk products have been the food staple of mankind since the beginning of recorded history. They are truly the one food source that has allowed us to become civilized and to develop societies as we know them today.

But now, milk has a bad name. Is it the milk itself or is it the way that it is being processed and delivered in this corporate farming world we now live in? Are the problems we see a result of pasteurizing and homogenizing, which are relatively new developments in the history of milk?

The penguin show

2009-09-10T02:59:00.000-07:00

To have some fun only

try it

Enter Your message and Click Submit

http://www.star28.net/snow.html

good luck

Amar Jyoti Presentation

2009-09-09T01:26:00.000-07:00

From the cycle rickshaw to a barrier free bus fitted with hydraulic lift, from under a tree to a regular school; sitting on durries and playing in the grass to now having regular furniture designed with special needs and good play grounds; from a barsati as an office to an institution based centre with two barrier-free buildings in Delhi and a branch in Gwalior; from paper flutes to a regular orchestra and band; from handwritten annual report to printed publications; from knitting needles to knitting machines; from hand-and foot stitching machines to electrically operated stitching; from organizing National Integrated Sports to 6th International Abilympics is an exceptional journey. As trail-blazer in innovations and Human Resources Development, Amar Jyoti has received several national and international awards.

http://amarjyotirehab.org/index.php?id=19

i use to work there from 1994-1996 great time.

see the
Amar Jyoti Presentation

THE VACCINE EXPERIMENT - In The Service of Good

2009-09-02T22:59:00.000-07:00

The Vaccine Experiment features three professors of medicine expressing grave concerns about the vaccine and an alleged cover-up of adverse reactions. They reveal their total dismay on learning the Norwegian results were used to justify the vaccination of a million otherwise healthy New Zealand children.

Two Norwegian children seriously disabled by the vaccine are also profiled. The documentary team came to New Zealand and interviewed New Zealand health officials who deny that New Zealand has suffered any adverse events associated with the MeNZB vaccine. They then speak with the families of local children seriously injured by the vaccine.

Revealingly, the team captures New Zealand health official Dr Jane O'Hallahan making false claims and backtracking on camera when confronted with the truth.

There is no doubt serious pressure will be brought to bear from MeNZB proponents to either can the documentary or to seriously edit it.

We ask that all New Zealanders who wish to see this documentary in its entirety contact TVNZ to support them in their intention to screen.

"THE VACCINE EXPERIMENT - In The Service of Good" will be one of the most important documentaries to screen on television this year.

see the rest on youtube.com

neck massage the long session

2009-09-01T02:22:00.000-07:00

I liked the way he is doing it

see with me

Intradiscal Electrothermal Annuloplasty

2009-09-01T00:21:00.000-07:00

Practically everyone suffers from back pain at some point. Sometimes the pain results from pressure on nerves, sometimes from spinal fractures, and sometimes from problems with the cushioning discs that separate the bones of the spine. Depending on the cause of the pain, treatment can be as simple as rest and exercise, or as complex as major surgery. Usually, simpler methods are tried first; if they are not successful in relieving the pain, more aggressive treatments can be used.

A relatively new treatment for back pain resulting from problems within the cushioning discs is intradiscal electrothermal annuloplasty, also called intradiscal electrothermal therapy (IDET). This outpatient procedure applies high heat directly to the inside of the disc. It is a less expensive and less invasive procedure than spinal surgery, but it is not appropriate for everyone who has low back pain.

Disc anatomy

Discs are cushioning tissues located between each vertebra of the spine. The disc has a soft center (nucleus) surrounded by tougher ligament tissue (annulus). As we age, the outer ligament tissue begins to fray and tear from use or injury. This allows nerves and small blood vessels from the soft center to seep into the injury site, triggering pain receptors in the ligament tissue. The result is discogenic back pain.

Discogenic pain differs from a ruptured or herniated disc because the pain originates within the disc and does not come from nerves or other structures. Discogenic pain is confined to the back and does not radiate down the legs.

Diagnosis

In addition to interviewing you about the pain, the physician will take your medical history and give you a physical examination. Tests that can help determine the source of the pain include X-rays, magnetic resonance imaging (MRI), computed tomography (CT) scans and discography.

Discography is used to identify the painful disc. In this test, the physician pierces the disc with a thin needle and injects a contrast dye. X-rays show whether the dye enters the disc's outer tissues. Discography is called a provocative test because it will provoke pain in an injured disc.

IDET

IDET is usually reserved only for patients who have tried aggressive, non-operative techniques to relieve their pain without success. Because this is a relatively new procedure, you should make sure that the practitioner you see is adequately trained in using the equipment. The procedure itself takes about one hour to complete. A local anesthetic and intravenous pain relievers are used.

The physician uses an X-ray machine (fluoroscope) to see the spinal structures.
A hollow needle is inserted into the painful disc. A thin heating wire (electrothermal catheter) is passed through the needle into the disc, and maneuvered into place around the outer edge of the central nucleus.
The wire is heated slowly to a temperature of about 194 degrees Farenheit (90 degrees Celsius) for about 15 minutes.
Heat can potentially contract and shrink the fibers that make up the disc wall, closing any tears.
The heat can also potentially cauterize (burn) tiny nerve endings in the disc, making them less sensitive to pain.
After the wire and needle are removed, there is a short observation period before the patient is released.

Postoperative treatment

Although IDET is much less invasive than most back surgeries, it will still take several weeks for healing to occur. Pain relief is not immediate; pain may actually increase for a day or two after surgery. But gradually the pain from the procedure itself should diminish.

After the IDET procedure, you will need to rest for a few days and limit the time you spend sitting. You may need to wear a back support for several weeks. You will also need to participate in a physical therapy program. If your job is sedentary does not involve lifting or manual labor, you may be able to return to work in a week or so; otherwise it may be several months before you can resume your activities. You will not be able to participate in rigorous recreational activity or do any heavy lifting or twisting for at least six months after the procedure.

IDET is not recommended if you have severe disc degeneration, nerve compression, spinal instability and/or narrowing of the spinal column (spinal stenosis). IDET is not yet covered by many insurance plans.

The long-term results of this procedure are still unknown. IDET was introduced in 1997 and case series without controls have reported encouraging results. However, these results need to be confirmed in prospective, randomized trials. Additionally, there is debate about how the procedure actually works. Not every patient will benefit from IDET treatment. Some patients continue to experience back pain and may eventually have other surgical procedures.

by Dr.Venketa Krishnan

Great work

2009-08-29T21:58:00.000-07:00

A year has already gone by and the holy month of Ramadan is at our doorsteps !.This is a blessed and special time of the year where each one of us is invited to reach out to God by refreshing his or her personal relationship with the Creator and reach out to others by being attentive and sensitive to their needs.

With your help and valuable support, a lot has happened during this past year. In our constant pursuit of excellence in the provision of quality healthcare services to our patients and their families, in line with our mission and vision, and with a true work team spirit, we were engaged throughout this year in ensuring sustainability for this institution. This sustainability translates itself in the maintenance of the quality of our services and the spread of these services for the community at large. As such, we started operations of the cyclotron equipment which produces the radioactive material needed for performing the latest type of scan in cancer diagnosis and treatment follow-up: the PET/CT scan. We established the sound basis for a strong research department and built strong ties for an on-going collaboration with renowned worldwide pediatric oncol ogy centers for the application of the best and latest treatment protocols. In this respect, the first international scientific symposium for pediatric oncology was organized and held at our premises in the beginning of July. In November, God willing, the hospital’s IT department will be through with Phase I on the road of the hospital’s full automation. The initial phase of operations of our bone-marrow transplant unit will start in a week's time .We are already in possession of the drawings for a new Hospital 57357 branch in Tanta in the Delta Region and for a new guest house near the hospital for our patients' families coming from all across Egypt. In collaboration with Modern School of Egypt 2000, we established the first in-hospital school in Egypt to ensure that our in-patients are keeping up with their school education and exams.

This year at the CCHE, we have chosen to revive this beautiful and true spirit of Ramadan by encouraging each other to detach ourselves of the recently acquired commercial habits which have become synonymous to the holy month and which hinder us from living it profoundly.

Come and join us at 57357 and celebrate with us the true meaning of Ramadan!

For donation Click here

Children's Cancer Hospital Foundation 57357

Tel.:+20(2) 25351727

Fax:+20(2) 25351745

Mobile:+2 011-7778436

E-mail: heba.wahba@57357.com

Web Site: www.57357.com

"Basic economic resource is no longer Capital, nor natural resources, Nor labor, It is and will be knowledge" Peter Drucker

Best Careers 2009: Physical Therapist

2009-08-17T22:26:00.000-07:00

Next to the clergy, physical therapy ranked highest in job satisfaction, according to a survey conducted by the National Opinion Research Center at the University of Chicago. More than three quarters of physical therapists reported being "very satisfied" with their occupation. In a similar survey by the Wall Street Journal's Career Journal, physical therapy rated one of the eight best careers.

????????????????????

why?

And it's easy to understand why:

You're a one-on-one coach, a role that many people enjoy. It's a bit like a fitness coach but with more skills and you're helping people with more acute problems.

You usually see real progress. For example, it's touching to see a patient, who came in on a stretcher or in a wheelchair, walk out at the end of treatment.

Unlike physicians, who often are restricted to 12-minute appointments, you typically see a patient for an hour.

You have considerable autonomy in how to solve problems, yet, unlike in self-employment, you can get a steady and pretty good paycheck.

There's variety: Most physical therapists are generalists. You might treat, for example, a brain-injured child, a football player who broke his arm, an Iraq War veteran amputee, and an aged stroke patient.

You can choose from a wide range of work settings, notably hospitals, physical therapy clinics, schools, physicians' offices, and patients' homes.

Unlike many other health professionals who must work nights and weekends, you usually have normal work hours.

Despite increased use of lower-cost physical therapy assistants, the job market for physical therapists is projected to remain strong as the baby boomers are reaching the age where they get more weekend-warrior athlete injuries and more serious problems.

Like all careers, physical therapy has downsides:

This career is physically demanding. All day, you're moving patients around, demonstrating exercises, and so on. That's a plus for some people and a minus for others who might prefer a desk job. It's not uncommon to leave work with sore muscles.

Burnout risk. Many of your patients will be newly disabled, in pain, progressing slowly, and/or frustrated by the painful exercises you prescribe. That can take a toll on you.

Training requirements have been ratcheted up. Not long ago, a bachelor's degree would do. Now, a master's is the minimum, with a three-year doctor of physical therapy increasingly the norm.

Nevertheless, if you're a science- and helping-oriented person, fascinated with the human body, and have an optimistic personality, a physical therapy career may heal your career pains.

By Marty Nemko

On August 7 , 2009

2009-08-02T00:32:00.000-07:00

On August 7 , 2009
At 12hr 34 minutes and 56 seconds on the 7th of August this year, the time and date will be

12:34:56 07/08/09

1 2 3 4 5 6 7 8 9

This will never happen in your life again??!!!!

FORWARD THIS MAIL PLEASE
Amaze your friends..... Be the first 2 tell them

You Can Be Me -- A Career in Physical Therapy

2009-07-21T21:46:00.001-07:00

Respiratory Basic Physical Examination

2009-07-21T21:40:00.000-07:00

how did he managed to assess pulse and respiratory rate without even wearing a watch?

Achilles Tendon Physical Therapy Exercises : Ankle Exercise for the Achilles Tendon

2009-07-14T21:50:00.000-07:00

sound is not good

How did acupuncture become popular in the USA?

2009-07-14T04:13:00.000-07:00

James Reston, who worked for the New York Times had his appendix removed (appendectomy) during a visit to China in 1971. After surgery he experienced some discomfort and was treated for this with acupuncture. He was surprised to find that the acupuncture treatment helped his discomfort tremendously. He subsequently wrote an article that year titled "Now, About My Operation in Peking". Many believe this article triggered intense interest in acupuncture in the USA. Reston wrote that the acupuncturist "inserted three long, thin needles into the outer part of my right elbow and below my knees and manipulated them…That sent ripples of pain racing through my limbs and, at least, had the effect of diverting my attention from the distress in my stomach. Meanwhile, Doctor Li lit two pieces of an herb called ai, which looked like the burning stumps of a broken cheap cigar, and held them close to my abdomen while occasionally twirling the needles into action. All of this took about 20 minutes, during which I remembered thinking that it was rather a complicated way to get rid of gas… but there was a noticeable relaxation of the pressure and distension within an hour and no recurrence of the problem thereafter."

However, a search in The New York Times shows that acupuncture was first reported in 1854, and about once yearly until 1971.

How is acupuncture treatment done?

Acupuncture generally involves several weekly or fortnightly treatments. Most courses consist of up to 12 sessions. A visit to an acupuncturist will involve an exam and an assessment of the patient's condition, the insertion of needles, and advice on self-care. Most sessions last about 30 minutes.

The patient will be asked to lie down, either face-up, face-down or on his/her side, depending on where the needless are inserted. The acupuncturist should use single-use disposable sterile needles. As each needle is inserted the patient should feel them, but initially without pain. However, when the needle reaches the right depth there should be a deep aching sensation. Sometimes the needles are heated or stimulated with electricity after insertion. Once inserted, the needles will remain there for about twenty minutes.

How does acupuncture work?

Traditional Chinese medicine explains that health is the result of a harmonious balance of the complementary extremes of yin and yan of the life force known as gior chi. Qi is said to flow through meridians (pathways) in the human body. Through 350 acupuncture points in the body, these meridians and energy flows may be accessed. Illness is said to be the consequence of an imbalance of the forces. If needles are inserted into these points with appropriate combinations it is said that the energy flow can be brought back into proper balance.

In Western societies and several other parts of the world, acupuncture is explained including concepts of neuroscience. Acupuncture points are seen by Western practitioners as places where nerves, muscles and connective tissue can be stimulated. Acupuncture practitioners say that the stimulation increases bloodflow while at the same time triggering the activity of our own body's natural painkillers.

Immediate Tendonitis Relief Following Rotator Cuff Treatment

2009-07-04T23:31:00.000-07:00

A minimally invasive procedure to treat tendonitis in the rotator cuff of the shoulder provides immediate symptom relief to the patient, according to a study published in the July issue of Radiology. The study found that ultrasound-guided nonsurgical therapy significantly reduces pain from calcific tendonitis of the rotator cuff and restores lasting mobility after treatment.

"With this treatment, we were able to establish a single inexpensive and effective treatment for calcific tendonitis of the rotator cuff. This has never happened before," said co-author Luca M. Sconfienza, M.D., from the Unit of Radiology, IRCCS Policlinico San Donato, University of Milan School of Medicine in Milan, Italy. "Symptoms improved in patients treated with our procedure compared to non-treated patients."

Calcific tendonitis is a condition that causes the formation of small calcium deposits within the tendons of the rotator cuff in the shoulder. It is most common in adults in their 40s. In most cases, the deposits become painful and can restrict mobility of the shoulder. In minor cases, physical therapy or anti-inflammatory medications may be sufficient to address the problem until the calcifications break apart spontaneously. In severe cases, patients may require shockwave treatment or open surgery to remove the calcium. Open surgery requires a hospital stay and rehabilitation and, on rare occasions, may result in major complications, such as tendon rupture.

"This treatment could completely replace other treatments that are affected by several limitations and complications," Dr. Sconfienza said.

Ultrasound-guided percutaneous (through the skin) therapy represents an effective and inexpensive alternative to surgery that is less stressful for the patient. For the 20-minute procedure, the shoulder is anesthetized and, with ultrasound guidance, a radiologist injects a saline solution into the rotator cuff to wash the area and break up the calcium. A second needle is used to aspirate, or withdraw, the calcium residue. Recovery time is about an hour.

"People with calcific tendonitis should know that with a simple, one-time ultrasound-guided procedure, they could recover completely from the terrible pain constantly affecting their shoulder," Dr. Sconfienza said.

For the study, Dr. Sconfienza, senior author Giovanni Serafini, M.D., from the radiology unit at Santa Corona Hospital in Pietra Ligure, Italy, and colleagues used ultrasound-guided percutaneous therapy to treat 235 shoulders in 133 women and 86 men (mean age 42) with calcific tendonitis. An additional 68 patients (31 men and 37 women) did not receive treatment and acted as a control group. All of the patients had shoulder pain that was unresponsive to previous medical treatment. Follow-up was conducted after 1 month, 3 months, 1 year, 5 years and 10 years.

The results showed that treated patients exhibited a considerable reduction in pain and significant improvement to mobility of the affected limb after 1 month, 3 months and 1 year compared to non-treated patients. Five and 10 years after the procedure, the condition of non-treated patients had improved to the point that reported outcomes were similar to those of the treated group.

While few institutions currently offer this therapy, Dr. Sconfienza says that, theoretically, the procedure could be performed in any hospital or clinic that has ultrasound equipment with a superficial probe.

"There are millions of people in the world affected by calcific tendonitis," Dr. Sconfienza said. "This treatment can provide quick and inexpensive relief for all of them."

"Rotator Cuff Calcific Tendonitis: Short-term and 10-year Outcomes after Two-Needle US-guided Percutaneous Treatment: Nonrandomized Controlled Trial." Collaborating with Drs. Serafini and Sconfienza were Francesca Lacelli, M.D., Enzo Silvestri, M.D., Alberto Aliprandi, M.D., and Francesco Sardanelli, M.D.

Source:
Linda Brooks
Radiological Society of North America

Hi all

2009-06-27T00:01:00.000-07:00

Every sixty seconds you spend angry, upset or mad, is a full minute of happiness you'll never get back..

Message of the Day is:

Life is short, Break the rules, Forgive quickly, Kiss slowly, Love truly, Laugh uncontrollably, And never regret anything that made you smile.

Life may not to be the party we hoped for, but while we're here, we should dance!

pictures from physiotherapy world

2009-06-16T12:31:00.000-07:00

paraffin wax for hand treatment

Physiotherapy books

This little cow has calving paralysis, caused by the calf having been in the birth canal too long, putting pressure on the nerves of the spinal cord. She's re-learning how to walk.

High frequency vacuum tube for peripheral stimulation. Use of electrical apparatus. [Physical therapy.] World War 1 era. Selected by Kathleen.

American College of Rheumatology diagnostic criteria for rheumatoid arthritis.

2009-06-15T23:26:00.000-07:00

1. Morning stiffness
Morning stiffness in and around the joints lasting at least 1 hour.

2. Arthritis in three or more joint areas
Arthritis in three or more joint areas, involving the PIP, MCP, wrist,
elbow, knee, ankle or MTP joints on the right or left
Soft-tissue swelling or fluid (but not bony overgrowth) observed by a
physician, present simultaneously for at least 6 weeks

3. Arthritis of the hand joints
Swelling of wrist, MCP or hand joints for at least 6 weeks

4. Symmetrical arthritis
Simultaneous involvement of the same joint areas (defined in 2 above)
on both sides of the body (bilateral involvement of PIP, MCP or MTP
joints is acceptable without absolute symmetry) for at least 6 weeks

5. Rheumatoid nodules
Subcutaneous nodules over bony prominences, extensor surfaces or in
juxta-articular regions, observed by a physician.

6. Rheumatoid factor
Detected by a method positive in fewer than 5% of normal controls.

7. Radiographic changes
Typical of RA on posteroanterior hand and wrist radiographs
These must include erosions or unequivocal bony decalcification
localised in or most marked adjacent to the involved joints (OA
changes alone do not qualify)

Physical Therapy Stretches for the Neck

2009-06-14T23:37:00.000-07:00

Back & Neck Exercises for Neck Physical Therapy

Medical Humor

2009-06-10T23:12:00.000-07:00

Medical Record Blunders

Rectal exam revealed a normal size thyroid. (Long fingers?)

Between you and me, we ought to be able to get this lady pregnant.

The patient was in his usual state of good health until his airplane ran out of gas and crashed.

The lab test indicated abnormal lover function.

xam of genitalia was completely negative except for the right foot. (Anatomy review time!)

Jokes

A man goes to the doctor and says to the doctor:
"It hurts when I press here" (pressing his side)
"And when I press here" (pressing the other side)
"And here" (his leg)
"And here, here and here" (his other leg, and both arms)
So the doctor examined him all over and finally discovered what was wrong... "You've got a broken finger!
A Nurse Practitioner was examining his patient who happened to be hard of hearing. He put his stethoscope to her chest and said, "Big breaths."
The woman replied, "Yes, they used to be bigger!"
over

Mulligan Taping Techniques Inversion Ankle Sprain

2009-06-09T23:11:00.000-07:00

BECOMING AN AUTONOMOUS PROFESSION

2009-06-09T00:05:00.000-07:00

The Chartered Society of Physiotherapy was founded

in 1894, under the name of the Society of Trained

Masseuses. This section will not attempt to relate the

history of the profession except in the context of

developing autonomy. However, more about the early

days of the profession can be found in

Dr Jean Barclay's fascinating book In Good Hands

(Butterworth-Heinemann, 1994).

For many years, doctors governed the profession.

One of the first rules of professional conduct stated 'no

massage to be undertaken except under medical direction'

(Barclay 1994). Even in the 1960s doctors were

asserting that they must take full responsibility for

patients in their charge and 'professional and technical

staff have no right to challenge his views; only he is

equipped to decide how best to get the patients fit

again' (Barclay 1994). It is hard to believe now that it

took more than 80 years to escape the paternalism of

doctors, to whom physiotherapists were dependent for

referrals. The first breakthrough came in the early

1970s, when a report by the Remedial Professions

Committee, chaired by Professor Sir Ronald Tunbridge,

included a statement that while the doctor should

retain responsibility for prescribing treatment, more

scope in application and duration should be given to

therapists.

The McMillan report (DHSS 1973) went further, by

recommending that therapists should be allowed to

decide the nature and duration of treatment, although

doctors would remain responsible for the patient's welfare.

There was recognition that doctors who referred

patients would not be skilled in the detailed application

of particular techniques, and that the therapist would

therefore be able to operate more effectively if given

greater responsibility and freedom.

Eventually, a Health Circular called Relationship

between the Medical and Remedial Professions was

issued (DHSS 1977). This acknowledged the therapist's

competence and responsibility for deciding on the

nature of the treatment to be given. It recognised the

ability of the physiotherapist to determine the most appropriate intervention for a patient, based on knowledge

over and above that which it would be reasonable

to expect a doctor to possess. It also recognised the

close relationship between therapist and patient, and

the importance of the therapist interpreting and

adjusting treatment according to immediate patient

responses.

Autonomy was only achieved by being able to

demonstrate competence to make appropriate decisions,

building up the trust of doctors and those paying

for physiotherapy services. The need to acquire skills of

assessment and analysis became a key component of

student programmes from the 1970s. Today, qualifying

programmes stress even further the development of

skills, knowledge and attributes required for

autonomous practice.

THE TOP 3 MYTHS & FACTS ABOUT NECK PAIN

2009-06-07T01:23:00.000-07:00

Myth #1: Nonsteroidal Anti-inflammatory drugs (NSAIDs) are the best first line of action for individuals with neck pain.

On the contrary, the Cochrane Database reports there is NO evidence that NSAIDs are effective in the treatment of neck pain. (Pelso et al 2005)

Myth #2: Most patients with acute or chronic neck pain require general exercises for their recovery, there is no need for specific exercises provided by a Physical Therapist!

On the contrary, the Cochrane Review Board concludes that specific exercise therapy may be effective for the treatment of acute and chronic neck pain, with or without headache. (Kay et al 2005)

Myth #3: Education on home exercises is as effective as supervised exercises provided by a Physical Therapist.

On the contrary, several randomized controlled trials (RCTs) provide evidence that unsupervised home programs are not as beneficial for individuals with chronic mechanical neck pain or for neck pain with radiculopathy. (Gross et al 2007 & Gross et al 2009)

On the contrary, several randomized controlled trials (RCTs) provide evidence that unsupervised home programs are not as beneficial for individuals with chronic mechanical neck pain or for neck pain with radiculopathy. (Gross et al 2007 & Gross et al 2009)

Is it not amazing that with no evidence, NSAIDs continues to be the primary line of defense for neck pain ... yet having significant evidence, Physical Therapy is often not recommended?

We must pass these studies on to other health care providers.

For more references, Myths & Facts please visit the complimentary APTEI Clinical Library athttp://aptei.com/library/index.jsp

Types of Physical Therapy

2009-05-31T05:53:00.000-07:00

There are many specialty areas in the field of physical therapy. Although this is well known throughout the profession, it is often overlooked by the general public. Below is a brief description of the five most common specialty areas in physical therapy. Read on to find out what specialty area is most appropriate for you or your family member.

1- Orthopedic physical therapists diagnose, manage, and treat disorders and injuries of the musculoskeletal system as well as rehabilitate patients post orthopedic surgery. This specialty of physical therapy is most often found in the out-patient clinical setting. Orthopedic therapists are trained in the treatment of post operative joints, acute sports injuries, arthritis, and amputations just to name a few. Joint mobilizations, strength training, hot/cold packs, and electrical stimulation are modalities often used to expedite recovery in the orthopedic setting. Those who have suffered injury or disease affecting the muscles, bones, ligaments, or tendons of the body will benefit from assessment by a physical therapist specialized in orthopedics.

2-Geriatric physical therapy covers a wide area of issues concerning people as they go through normal adult aging, but is usually focused on the older adult. There are many conditions that affect many people as they grow older and include but are not limited to: arthritis, osteoporosis, cancer, alzheimer's disease, hip and joint replacement, balance disorders, incontinence and more.

Geriatric physical therapy helps those affected by such problems in developing a specialized program to help restore mobility, reduce pain, increase fitness levels and more.

3-Neurological physical therapy is a discipline focused on working with individuals who have a neurological disorder or disease. These include Alzheimer's disease, ALS, brain injury, cerebral palsy, multiple sclerosis, Parkinson's disease, spinal cord injury, and stroke. Common problems of patients with neurological disorders include paralysis, vision impairment, poor balance, inability to ambulate, and loss of functional independence. Therapists work with patients to improve these areas of dysfunction.

4-Cardiovascular and pulmonary rehabilitation physical therapists treat a wide variety of patients with cardiopulmonary disorders or those who have had cardiac or pulmonary surgery. Primary goals of this specialty include increasing patient endurance and functional independence. Manual therapy is utilized in this field to assist in clearing lung secretions experienced in patients with cystic fibrosis. Patients with disorders including heart attacks, post coronary bypass surgery, chronic obstructive pulmonary disease, and pulmonary fibrosis are only a few examples of those who would benefit from cardiovascular and pulmonary specialized physical therapists.

5-Pediatric physical therapy assists in early detection of health problems and uses a wide variety of modalities to treat disorders in the pediatric population. These therapists are specialized in the diagnosis, treatment, and management of infants, children, and adolescents with a variety of congenital, developmental, neuromuscular, skeletal, or acquired disorders/diseases. Treatments focus on improving gross and fine motor skills, balance and coordination, strength and endurance as well as cognitive and sensory processing/integration. Children with developmental delays, cerebral palsy, spina bifida, and torticollis are a few of the patients treated by pediatric physical therapists.

free physiotherapy,physical therapy dictionary

2009-05-31T05:41:00.000-07:00

Free Physical Therapy Dictionary offers a free online physical therapy dictionary that allows users to search physical therapy terms based on first letter or by phrase. This online physical therapy glossary can be helpful in learning physical therapy definitions

go to

http://www.physicaltherapydictionary.com/

to find out more about it

top Physical Therapy Dictionary Terms

active range of motion (abbrv. AROM)

the motion caused by muscle contraction

angle

a vector quantity that is composed of two sides which intersect at a vertex

dependent arm position

the position that the arm is hanging down by the side of the trunk

cancellous bone

very loose bone tissue consisting of a 3D lattice of branching trabeculae

WNL

no abnormal results during testing

passive motion

the motion caused by sources other than muscle contraction

Physical Therapy Software (abbrv. PTS)

Computer software aiding in streamlining physical therapy billing, physical therapy invoicing and physical therapy scheduling.

Best Careers 2009: Physical Therapist

2009-05-27T02:21:00.000-07:00

By Marty Nemko

Overview. Next to the clergy, physical therapy ranked highest in job satisfaction, according to a survey conducted by the National Opinion Research Center at the University of Chicago

More than three quarters of physical therapists reported being "very satisfied" with their occupation. In a similar survey by the Wall Street Journal's Career Journal, physical therapy rated one of the eight best career

And it's easy to understand why:

You're a one-on-one coach, a role that many people enjoy. It's a bit like a fitness coach but with more skills and you're helping people with more acute problems

You usually see real progress. For example, it's touching to see a patient, who came in on a stretcher or in a wheelchair, walk out at the end of treatment

Unlike physicians, who often are restricted to 12-minute appointments, you typically see a patient for an hour

You have considerable autonomy in how to solve problems, yet, unlike in self-employment, you can get a steady and pretty good paycheck

There's variety: Most physical therapists are generalists. You might treat, for example, a brain-injured child, a football player who broke his arm, amputee, and an aged stroke patient

You can choose from a wide range of work settings, notably hospitals, physical therapy clinics, schools, physicians' offices, and patients' homes

Unlike many other health professionals who must work nights and weekends, you usually have normal work hours

Despite increased use of lower-cost physical therapy assistants, the job market for physical therapists is projected to remain strong as the baby boomers are reaching the age where they get more weekend-warrior athlete injuries and more serious problems

US News

What Kinds Of Physical Therapy Work For Arthritis?

2009-05-25T00:06:00.000-07:00

Patients with arthritis in our practice are often referred to physical therapists during the course of their management. One question I often hear from patients when I suggest physical therapy is, "But, why can't I do exercises at home?"

So the big misconception here is that physical therapy is just a bunch of glorified exercise instruction. Nothing could be further from the truth. Physical therapy plays an extremely important role in the management of the patient with arthritis.

Before we go into the treatment modalities that physical therapists use, let's start with exercises since they are an integral part of treatment.

Exercises consist of stretching, strengthening, and range of motion. In addition, as patients get older they need different types of training such as with balance and gait. Finally, the physical therapist in conjunction with the occupational therapist may look into activities of daily living and suggest some modifications that may be helpful.

But where physical therapy plays a major role is in using different modalities to relieve pain and speed the healing process.

Diathermy is a treatment method which delivers deep heat. It is useful for chronic pain conditions such as deep muscle injury or arthritis.

Precautions in regard to skin and subcutaneous tissue depth should be attended to. For example, a person who is skinny will require much less diathermy than an obese person. Also patients with damage to sensory nerves probably should not receive diathermy.

Iontophoresis (IP) is a procedure where an electric current pushes ionically charged chemicals (ie., glucocorticoids or steroids) through the skin to reach deeper tissues. IP can be used for calcific tendonitis and inflammatory conditions such as arthritis. Contraindications to use of iontophoresis include allergy to the chemical being applied, open wounds, or neurologic deficits that impair a person's ability to feel.

Iontophoresis also should not be used near metallic implants, wires, or staples.

Ultrasound (US) is a type of treatment in which high-frequency sound waves are used to "heat up" superficial soft tissues and to help with tissue healing. Ultrasound can be used for tendon injuries or for short-term pain relief related to muscle strain or spasm. Contraindications of ultrasound include the use of US directly over recently surgically manipulated nerves such as a recent laminectomy, directly over malignant tumors, and over joint replacements and permanent pacemakers. US should also not be used in areas of thrombophlebitis (blood clots), near the eyes, over the uterus, ovaries, and testicles. US also should not be used in areas of acute inflammation, over the epiphyseal plates of growing children, and over breast implants of any type.

Phonophoresis (P) is the use of ultrasound to transport therapeutic medications to subcutaneous tissues. P can be used for inflammatory conditions such as tendonitis, arthritis, and bursitis. The same cautions and contraindications exist as for US.

Electrical stimulation (ES) is the process of using electrical current to deliver a therapeutic effect by generating an action potential in nerve tissue. This action potential leads to two potential results. The first is a change in sensory input, ie. a reduction in the ability to perceive pain. The second is a muscle contraction. Low grade muscle contractions can often relieve the severe muscle spasms that occur in association with arthritis. ES can be used for chronic pain related to arthritis, bursitis, or tendonitis. It is also useful for muscle spasm as well as neuropathic or radicular pain (pain from pinched nerves in the spine).

It has the same contraindications as US.

Low-level laser therapy- also known as cold laser- acts through the absorption of photon radiation. This leads to changes in cellular oxidative metabolism. Evidence indicates that levels of inflammatory and pain mediators such as prostaglandin E2 can be reduced with this modality. Cold laser can be used for minor musculoskeletal pain, osteoarthritis, chronic neck and low back conditions, and fibromyalgia.

It should be used with caution in patients with malignant tumors or in those being treated with anticoagulants, corticosteroids, or immunosuppressive drugs and should not be used over the thyroid gland or over reproductive organs.

Patients and those providing the cold laser treatment should use safety goggles to limit eye exposure to laser light.

These are only a very small portion of the many therapeutic modalities a physical therapist has in their arsenal. In the care of patients with arthritis, physical therapists are an indispensable member of the team.

physical therapy education in the world

2009-05-17T02:32:00.000-07:00

In the United States, training in physical therapy culminates in a doctor of physical therapy (DPT) degree. A few programs still offer a Masters degree. (MSPT, MPT) All US programs are now transitioning to grant the DPT degree nationwide. There are still many physical therapists currently practicing in the US who were trained with a BSPT degree. Physical therapist education includes clinical internships. All states also require physical therapists to pass the National Physical Therapy Examination before they can practice.^[20] Each state regulates licenses for physical therapists independently. According to the American Physical Therapy Association, there were 210 accredited physical therapist programs in 2008–of those 15 offered the Master of Physical Therapy, and 195 offered the Doctor of Physical Therapy(DPT) degree. Most programs are in transition to a DPT program.^[21]

In the United States, there are approximately 233 accredited two year programs for Physical Therapy Assistants.

In Iraq, The Physical therapy degree is a master part of orthopaedic surgery board that given by the medical school after the Bs.c degree , so its need full Bs.c degree in medicine ( 6 years )

In the United Kingdom, university degrees tend to be three rather than four years in length, as British students typically read a two-year A-level course after leaving secondary school at a college of further education before progressing to university level. However, some universities offer a four year part time course, which is open to physiotherapy assistants and technical intructors and involves studying for two days a week and working the remaining three. In order to qualify, students are required to complete 1000 hours of clinically based learning: this typically takes place in the final two years; however, some courses also have clinical placement in the first year. Thirty-five universities and tertiary level institutions train physiotherapists in the UK. The vast majority of physiotherapists work within the National Health Service, the state healthcare system.

In the Philippines, physical therapy programs are generally 5 years in length and awards the Bachelor of Science in Physical Therapy (BSPT) degree upon graduation. The program consists of basic sciences, 2 years of physical therapy subjects and a final year of internship & research/thesis. Some schools require students to complete a full 12 months of internship. During the internship year, students are required to fulfill clinical affiliations with hospitals, outpatient physical therapy clinics, and other healthcare facilities. Due to the healthcare structure in the Philippines, clinics and therapy departments are often headed by a Physiatrist who performs evaluation and writes out specific treatment orders for the PT to follow, and majority of the treatments are cash-based since not a lot of people have health insurance. To be able to secure a license to practice PT in the Philippines, one must be able to pass a grueling licensure examination (board examination) given by Board of Physical Therapist under the supervision of the Professional Regulation Commission (PRC). Under R.A. 5680, successful examinees will be allowed to include P.T.R.P. in their name which stands for Physical Therapist Registered Philippines. Licensure examination for physical therapists in the Philippines is governed by Republic Act 5680, also known as The Philippine Physical Therapy and Occupational Therapy Law.

In Turkey, the Physiotherapy (BPT) education is provided by physiotherapy schools in universities (Hacettepe University, Dokuz Eylül University, İstanbulUniversity, Baskent University, Pamukkale University, Dumlupınar University, Süleyman Demirel University) after high school education. Education takes 4 years or 5 years with preb classes. MSc and Ph.D. education is given by institutes of medical sciences.

In Bangladesh, the Bachelor of Physiotherapy (BPT) course is provided by the Medicine Faculty of University of Dhaka. There are four affiliated institutes, the Bangladesh Health Professions Institute (BHPI)- the Academic Institute of CRP,the National Institute of Traumatology Orthopaedic and Rehabilitation, the state college of Health sciences and the peoples institute of health sciences which provide 5 years of professional education including a one year mandatory internship. Bangladesh Physiotherapy Association (www.bpa-bd.org)is only internationally recognized professional body, working hard to establish the rights and dignity of the professionals in the country.The Bangladesh Physiotherapy Association has received international recognition from WCPT (2007) in Vancouver.

In Pakistan there are 8 colleges offering Bsc. Physiotherapy and 2 colleges offering Msc in PT. Physiotherapists have a good scope in government and private hospitals and they are awarded 17 grade pay scale and one college Riphah Institute of Physical Therapy and Isra college of physical therapy Hyderabad are offering now DPT (five years duration) and tDPT(two years).In this way Pakistan has become the third country offering DPT in the world.

In Australia, a few different programs are available at both undergraduate and post graduate level. The physiotherapy degree can be undertaken over a 4 years period as an undergraduate or 2–3 years post graduate with the early components being predominantly theoretical including basic anatomy, biology, physics, psychology, kinesiology, goniometry and physiology. In the latter half of the degree students partake in practical components focusing on musculoskeletal physiotherapy, neuromuscular physiotherapy, paediatric physiotherapy, geriatric physiotherapy, cardiothoracic physiotherapy, and women's health. The program generally progresses with an increasingly clinical focus and usually the final year involves practical placements at clinics, and research. Australian programs offer either the (B.Physio, BSc (Physio), M.Physio, or DPT) degrees.

In Canada, entry-level physiotherapy education is offered at 13 universities. Some of these university programs are at the Master's level, meaning that applicants must have already completed an undergraduate degree prior to applying; all of them are slated to be at the Master's level by 2010. Many universities also offer graduate programs in physiotherapy, rehabilitation, or related disciplines at the masters or doctoral level. Many physiotherapists may advance their education at these levels in such Clinical Practice Areas as cardiorespirology, geriatrics, neurosciences, orthopaedics, pediatrics, rheumatology, sports physiotherapy, and women's health.

In New Zealand, there are currently two schools of physiotherapy offering four-year undergraduate programs. Many New Zealand physiotherapists work in the private health care system as musculoskeletal physiotherapists and the curriculum reflects the need to prepare graduates for autonomous practice. Students follow an educational program similar to Australia with an emphasis on biomechanics, kinesiology and exercise. Postgraduate study typically involves three years of subject specific learning.

In South Africa the degree (B.PhysT, B.Sc Physio or B.Physio) consists of four years of general practice training, involving all aspects of Physiotherapy. Typically, the first year is made up of theoretical introduction. Gradually, time spent in supervised practice increases until the fourth year, in which the student generally spends about 80% in practice. In the fourth year, students are also expected to complete Physiotherapy research projects, which fulfills the requirements of an Honours degree. Professional practice and specialization can only be entered into after a state governed, compulsory year of community service is completed by the student after graduation.

In the United Arab Emirates the Bachelor Of Physiotherapy (BPT) consists of a 4 year undergraduate degree program. In the first year of the program they are introduced to pre-clinical subjects such as Anatomy, Physiology, Biochemistry, Human Behaviour & Socialisation & Basic Medical Electronics & Computers. The students also get hands on experiences in cadaveric dissections while learning Human Anatomy during the first year of the program. The students progressively are introduced to supervised clinical practice and the integrated curriculum offers the best learning experiences in addition to extensive inhouse elearning programs. The course offers Case Based Learning experiences and focusses on Evidence Based Practices. The program culminates with a six month internship ending with a research project work.

In Spain a physiotherapy student is required to complete 3 years of training after having passed a university entrance exam. After completing a physiotherapy program, another exam can be taken to work for the public health system of an autonomous community, or a graduate can work for private hospitals, clinics, etc. There are 43 universities with physiotherapy faculties in Spain.

In the Republic of Ireland, Physiotherapy is available as an undergraduate course in four universities,, Trinity College, University College Dublin, Royal College of Surgeons and University of Limerick. Courses are four years in length with clinical practice in the final two years. Students are required to complete 1000 hours of clinical practice before graduation.

In India, universities offer undergraduate program of physiotherapy with four years of academic and clinical program and 6 months of compulsory internship. There are over 250 colleges offering undergraduate program in physiotherapy (BPT) and more than 50 colleges offering masters in Physiotherapy (MPT) with 2 years duration. PhD in Physiotherapy is offered in some universities of the states Maharashtra, Karnataka and Tamil Nadu.

In Sri Lanka, Physiotherapy is available as a Diploma course for 2 years in School of Physiotherapy & Occupational Therapy, which is affiliated to the National Hospital of Colombo from 1957. After the 6 months of classroom training students are sent to hospitals for clinical practice. During the 80's foreign students from Australia, Belgium have studied at the Physiotherapy School. From the year 2005 Medical Faculties of University of Peradeniya & University of Colombo have started the undergraduate course for 4 years.

In Taiwan, Physical Therapy is available as a four-year undergraduate course in 14 universities. There are also three junior colleges to provide a five-year program. Clinical practice is required in the final year of the both programs mentioned above. Once a student graduates from the PT program, he/she is then required to pass a national licensure exam administered by the Ministry of Examination, Taiwan, R.O.C. Many universities also offer graduate programs in physical therapy, rehabilitation, or related disciplines at the masters or doctoral level.

In Kuwait, Physical therapy B.Sc degree can be obtained after graduating from Kuwait University (4 years program). Students learn to asses patients and document their progress at their 2nd year and start going to hospitals to have their practical learning from 3rd year. After graduating they can apply to work at hospitals, and they start their job by passing through a training year where they can practice their skills even more. During that year they have to be trained in the following schedule: 2 months general hospital, 2 months orthopedics, 2 months rehabilitation, 2 months neuro, 2 months and half pediatrics, 1 month cardiopulmonary, and 2 weeks of gyna or sport medicine. After that they can chose to be specialized in one of those paths to continue his journey on. Physical therapy in Kuwait is very promising though we lack the availability of post graduation programs unfortunately.

In Malta, Physical Therapy B.Sc (honours) is available as a course which can be obtained after finishing a four year course at the Institute of Health Care of the University of Malta. This course involves all aspects of Physiotherapy. Students have an intensive 3 year theoretical course after which the s/he spends the last year doing clinical placements (in total = 4 years). Students learn how to assess and treat patients. To be able to secure a license to practice as a physiotherapist, one must be able to pass some practical exams which involves both assessment and treatment. In the fourth year, students are also expected to complete a physiotherapy research project, which fulfills the requirements of an Honours degree.

In Italy, known as "Laurea in Fisioterapia (abilitante alla professione sanitaria di Fisioterapista)", it is a three-year full time degree taught in the Faculty of Medicine of many Italian Universities. The course is an intensive mix of class time and mandatory internship right from the first year. Internship is such an important part that the number of hours dedicated to practice progressively increases reaching half of the program by the third year. There are no special requirements to be admitted to the Bachelor's degree; students from various backgrounds can access the program, previous passing an 80 question pre selection test. This test is implemented to all those courses known as "numero chiuso" or close access to limit the number of participants. Depending on the Faculty and course between 30 to 400 positions are available each year. To be selected one has not only pass the examination but finish in the top positions required to enter. For all para-medical degrees each Institution can select its own test which it held simultaneously in all Universities, whereas for Medicine the test are administered by the Ministry of Education. Importance is given to the initial exam and a "close number" is paramount. This maneuver controls the job market, hence prodiving secure occupation to those who finish.

http://en.wikipedia.org/wiki/Physical_therapy#Education

Dialogue with the expert physiotherapy and alternative medicine, Dr. Mohsen nadi

2009-05-17T01:33:00.000-07:00

This type of medicine dealing with the rights as a whole can not separate the physical from the psychological marks on those environmental
Nablus / Amin Abu Wardeh - Dr. Mohsen nadi in the treatment of natural and alternative medicine, this type of medicine dealing with the rights as a whole can not separate the physical from the psychological marks on that environment.

He adds that there is no legal permits or prevents the alternative medical practice, which is prevalent in the various houses and at all ages and there is a severe shortage of specialist alternative medicine in Palestine of the students of the subject, and most of the practice is either interested in or who have gained experience through the grandparents.

The following is the text of the interview:

1 - start gave us a summary of the essence of alternative medicine?

To give a summary of alternative medicine should be defined so that a clearer picture in mind Vatab alternative known as follows (in the words of a group of health professionals based on medical knowledge of each of them a stand-alone, relying on accurate diagnosis through a comprehensive examination; taking into account the mental state and mental state of an addendum to the physical, applying therapeutic principles of each, may be used water, electricity, radiation, lasers, heat, massage and manual therapy, herbs, medicinal oils, and natural medicines

To give a summary to say that it is divided into the following sections:

1 - treatments tend to have mental control over the body, including yoga and Hypnotizing Aliihaii.

2 - electromagnetic therapy may be used or fixed magnet alternator, is the most uses in the treatment of bone fractures to treat sores and wounds of patients resistant to the treatment of diabetes and the restoration of nerve cells are also used to raise the efficiency of the immune system of the human person.

3 - treatment, a systematic study the alternative in most countries of the world such as Chinese medicine branches (ironing cupping massage acupuncture Chinese), Indian Alaopda AIDS medicine, natural medicine (Nachral) environmental medicine.

4 - for example, manual therapy and Alastaiobathi Alcreobraktk a process to amend the joints, various types of massage, physiotherapy (Aelovesyothirabi).

2 - There is an alternative to alternative medicine by conventional medicine?

Notes and sections of the definition that the term alternative medicine and a broad and non-earmarked for the information given and many of the alternative medicine specialist protesting the name and be called the best medicine, it is not inherent to the alternative of one is a stand-alone Andalmh and did not do wrong to other branches of medicine.

Each if they were aware of the decrease, as they say, as modern medicine or chemical limitations in diagnosis and treatment as well as the limited branches of alternative medicine in the same order.

Alternative Vatab old time since the advent of civilization, unlike conventional medicine, which has spread with the spread of colonialism, but some historians attribute to the spread of the force, where doctors attending law Isnon use of the tools of traditional medicine or alternative to their own benefit and to vigorously implement the colonized.

3 - To what extent is the proliferation of alternative medicine in Palestine?

Legally there is nothing to authorize or prevent the practice of medicine the alternative, which is prevalent in the various houses and at all ages, any person injured by drinking cold Almiramip advised, or advised to get Barashh drinking Zhorat a variety of alternative medical practice without paying heed to it at the heart of alternative medicine, there Doctors also advise some herbs or some food which is also at the heart of alternative medicine, so it is a widespread practice among the people, but on the other hand there is a severe shortage of specialist alternative medicine in Palestine of the students of the subject, and most of the practice is either interested in or who have gained experience by grandparents.

Alternative Medicine in various branches needed to be studied which may extend to 7 years, and in medicine Altjansi or months as in the therapy sessions Kahadjamp Bozhar Bach to be Darcha Background and medical understanding of the functioning of the human body

4 - dependent on the alternative medicine?

As I mentioned earlier there is no Palestinian law allows or prevents the practice of medicine, but alternative treatments are subject to the laws in terms of production and the completion date, as well as domestic manufacturing in order to prevent the trade.

Home in Palestine, there was severe rationing and licenses granted to practice any branch of alternative medicine, as well as the manufacture, cultivation of herbs and manufacture and supply of income is a significant reach for millions.

World Health Organization recognizes alternative medicine, and set standards for the manufacture of his medication and exercise.

In the alternative medicine industry is a prominent place within the Department of State Health Insurance and private

5 - How to deal with the alternative medicine of various diseases?

Alternative Medicine deals with the rights as a whole is not separated from the physical signs that environmental psychology, in other words, give a holistic treatment of the disease, and deals with the causes of the disease not only with the symptoms so that treatment does not cover the roots of the symptoms and the disease kills the body remains without feeling it.

Lower back pain as an example of dealing with modern medicine with painkillers while dealing Nah alternative medicine that may be causes, incidence of constipation, cold beat him, twisting in the paragraphs, or even from the effects of an old wound in another area of the body.

Accordingly, we do not give anything in the alternative medicine for the pain and removed, but nothing to address the cause of pain, where pain is a gift from God to indicate the source of human disease is an indication of the success of treatment.

Your words are understood from the context that there are drugs manufactured Alternative Medicine What is the extent and effectiveness?

Must distinguish between two things: first that there is a plant herb popular alternative medicine Inolha any person without resorting to such a consultation and Zhorat Alababong.

There are modern drugs in the area of alternative medicine given by a specialist in this area which incidentally comes in different forms, such as herbal injection, Nhawkat nose, fat external anal suppositories, and taken by mouth, but also drops for the eyes.

6 - Can the alternative medicine treatment of diseases of the inability of modern medicine such as infertility and cancer?

Development that has occurred over the past seven years was amazing in the field of alternative medicine and there are reports about the wonderful treatments given and give curative cases of diseases were considered intractable.

In the field of infertility, there needles as well as the German drugs Altjansi liquid medicine to give excellent results in cases of lack of or decrease in the number of sperm as the success rates of global convergence of the forty per cent of all cases dealt with more of those rates in smoking and declined to follow the instructions carefully.

Cancer cases in the success of alternative medicine depends on the type of cancer, its extent, age of the patient, in addition to dealing with drug-or chemical-ray sessions.

That the drugs found that alternative medicine is stronger in cancer treatment and less in terms of side-effects and there are various reports on the drugs have proven in the treatment of cancer and perhaps months, of those drugs, which raised and remains a cause for controversy for more than a century Essac treatments which vehicles can be simple and easily prepared and readily available in the Palestine.

7 - Do you think that the Palestinian public is aware of alternative medicine?

The public began to feel the danger of drugs and chemicals became more aware than ever before, but I heard many people say a single word (I do not want pain killers as much as I want a cure for the problems) of the people here feel that the sum aware of the importance of alternative medicine

More importantly, they come for treatment early in the disease and thus the most powerful methods of alternative medicine in the treatment of the disease from which, before too late if we have covered the symptoms and mitigate.

Information has also played a significant role in raising public awareness of the importance of alternative medicine and the results are always between the spread of the provision or failure of any therapeutic method.

in arabic

http://arabic.pnn.ps/index.php?option=com_content&task=view&id=54949&Itemid=57

What is the NOCEBO effect؟

2009-05-10T01:02:00.000-07:00

The Nocebo effect is a phenomenon that is simply the opposite of the placebo effect! It occurs when just the expectation of a negative outcome may lead to the worsening of symptoms

Since there are ethical review boards, Nocebo studies have been limited (e.g. An ethics committee would not ever agree to a study that lies to patient that they have a serious disease with a horrible or stressful prognosis ...then sit back and see what happens to them!)

Regrettably natural Nocebo situations do exist and are sadly frequent. Examples include everything from patients self-diagnosing and researching on the Internet their clinical condition, to information on radiological results saying they have cervical DDD or lumbar disc herniations (although irrelevant)

What about when a health care provider says, "you have arthritis, there's nothing you can do about it except live with it!"

This is a very eye opening recent (June 2007) study that supports the nocebo theory where negative verbal suggestions bring on anticipatory anxiety about the potential pain increase

The verbally induced anxiety generated cholecystokinin (CCK), which in turn, assisted pain transmission

Clinical Relevance 1: Many conditions from whiplash-associated disorders, to Parkinson's disease have been found to be affected by Nocebo suggestions

Clinical Relevance 2: How sad that many times, we, the health care providers are the cause of the Nocebo effect ...when we should be focusing on the placebo effect!

Reference:Benedetti F, Lanotte M, Lopiano L, Colloca L. When words are painful: Unraveling the mechanisms of the nocebo effect. Neuroscience. 2007 Jun 29;147(2):260-71. Epub 2007 Mar 26

The True Meaning of Alternative Medicine

2009-05-10T00:28:00.000-07:00

Many people who are suffering from disease or pain have thought about trying the alternative medicine route. Before you try alternative medicine, you may want to learn a bit about it. There are a lot of different types of alternative medicine and they all may not be right for you.

Alternative medicine is a type of therapeutic practice that is not considered to be a part of traditional or conventional medical treatment. People use alternative medicine instead of using traditional medical treatment. This is often because they feel it is a natural way to get better.

There are many types of alternative medicine. Some are covered by medical insurance, but most are not. Some forms of alternative medicine that may be covered are chiropractic and osteopathic therapy. These forms of alternative medicine are widely used.

There are other forms of alternative medicine that are not as widely used, but are becoming more popular by the minute. These are: massage therapy, therapeutic touch, folk medicine, herbal medicine, special diets, homeopathy, music therapy, aromatherapy, naturopathy, faith healing, and new age healing. There are also some non-western forms of alternative medicine such as: Chinese medicine, gi gong, reiki, and ayarveda.

There are some less commonly practiced forms of alternative medicine as well. One is called biofield therapy. This is a form of alternative medicine that works with your so called "energy fields" to heal you. Another is bioelectrical magnetic therapy. This alternative medicine uses pulse and magnetic fields to heal you.

Alternative medicine is quite popular for people who are terminally ill. Many AIDS and cancer patients prefer it. An example of this is a cancer patient who uses alternative medicine instead of receiving traditional chemotherapy or radiation therapy. People also use alternative medicine to heal ailments such as back pain or migraines. Instead of traditional painkillers, the patients would use aromatherapy, sound therapy or herbal therapy. Alternative medicine is even used on animals. Have you ever seen the movie "The Horse Whisperer?" That was about a form of alternative medicine used on an animal. Acupuncture, herbal therapy, and others have also been used on animals.

The last thing you should know is that there is no scientific evidence that alternative medicine is effective. There have been no scientific studies to prove if they are safe or if they work for the diseases or ailments they are used for. Before using an alternative medicine, talk to your doctor, make sure your doctor feels it is safe and will not harm you.

There are many different kinds of alternative medicines to choose from. Now that you understand it a bit better, you can decide if it is right for you. For more information talk to your doctor or research it online. With careful research, you may find one that is right for you.